Neville, Stacey A.

Neville, Stacey A. is an individual health care provider with primary practice located at 4415 West 36 1/2 Street , St. Louis Park MN 55416. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Neville, Stacey A. can be contacted via phone (952) 927-9717.

Contact Information

Primary practice address
4415 West 36 1/2 Street St. Louis Park MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6566 Minnesota

Profile Details

NPI number 1578520276
LBN Legal business name Neville, Stacey A.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578520276 NPPES
Minnesota Other 457RINE BCBS
Minnesota Other HP43270 BCBS
Minnesota Other 6404818 BCBS

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